Individual
LESLIE V ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
609 W 1600 S, WOODS CROSS, UT 84087-1606
(801) 927-7970
Mailing address
609 W 1600 S, WOODS CROSS, UT 84087-1606
(801) 927-7970
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
6878902-4901
UT
Other
Enumeration date
12/21/2012
Last updated
12/21/2012
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